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TWI554969B - Scalable system and method for medical information collection - Google Patents

Scalable system and method for medical information collection Download PDF

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TWI554969B
TWI554969B TW104107964A TW104107964A TWI554969B TW I554969 B TWI554969 B TW I554969B TW 104107964 A TW104107964 A TW 104107964A TW 104107964 A TW104107964 A TW 104107964A TW I554969 B TWI554969 B TW I554969B
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data
medical
patient
medical data
database
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TW201633249A (en
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蕭正英
朱原嘉
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臺北榮民總醫院
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Description

具可擴充性之醫療資料收集系統及其方法 Expandable medical data collection system and method thereof

本發明係關於一種資料收集系統及其方法,尤其係關於一種具可擴充性之醫療資料收集系統及其方法。 The present invention relates to a data collection system and method thereof, and more particularly to a scalable medical data collection system and method therefor.

早期在醫療研究相關領域中,醫生或醫療相關研究人員針對單一病症進行研究時,會將具有該單一病症病人之所有相關資料,一筆筆的存入電腦中,以進行數據分析。後來因為健保制度實施後,大量的疾病資料存入健康保險資料庫(administrative databases)中,因此,如果能有效的利用該資料庫中之資料進行研究分析,將會對於流行病學、健康照護、疾病研究及衛生政策評估具有極大的助益。 In the early days of medical research, doctors or medical-related researchers conducted a study on a single disease, and all the relevant data of the patient with the single disease was stored in a computer for data analysis. Later, after the implementation of the health insurance system, a large amount of disease data was stored in the health insurance database. Therefore, if the data in the database can be effectively used for research and analysis, it will be for epidemiology, health care, Disease research and health policy assessments are of great help.

由於健康保險資料庫匯集了全體國人珍貴的醫療就診資料,並且可以在電腦中直接處理,因此在保障民眾隱私之前提下,健保局或國家衛生研究院可提供該資料庫之資料給學術界進行相關研究。但是在台灣,健康保險資料庫之既有疾病資料的正確性尚未被有效的驗證,並且有些病患在入院前就已經在別家醫院進行診斷及治療進而影響到其病歷資料判讀性,所以有學者反對使用健保申報資料庫來做相關研究。在醫療研究所採用的數據中,如果能篩選出第一次診斷與第一次治療之資料,也 就是最初始之資料進行研究,有機會得到正確的研究結果。 Since the health insurance database brings together all the valuable medical information of the Chinese people and can be processed directly in the computer, the health insurance bureau or the National Institutes of Health can provide the information of the database to the academic community before the privacy of the people is protected. Related research. However, in Taiwan, the correctness of the existing disease data in the health insurance database has not been effectively verified, and some patients have already been diagnosed and treated in other hospitals before admission, which affects the interpretation of their medical records, so there are Scholars object to the use of the health insurance declaration database to do related research. In the data used by the medical research institute, if the data of the first diagnosis and the first treatment can be screened, It is the initial data for research and the opportunity to get the right results.

現行各大醫院之醫療資料系統(Hospital Information System)設計主要是為健保申報而設計,故門診、急診及住院所產出的報告結果(如醫療影像及報告、血液檢驗、門診用藥、出院病摘、門診病歷等),均為日誌型資料庫。現今電子病歷之發展,以建立各式詞彙代碼表、交換單張標準為主。因此,醫療資料庫與如何轉換成具有醫學詞彙代碼一致性及欄位化的臨床研究數據資料庫,以符合大規模且高變動性資料輸入需求,是目前急需發展的關鍵技術。現行之技術均難以達到處理高變動性醫療詞彙輸入以及轉換成臨床研究數據資料庫的需求。 The current Hospital Information System design of major hospitals is mainly designed for health insurance declarations, so the results of outpatient, emergency and hospitalized reports (such as medical imaging and reports, blood tests, outpatient medication, discharge sickness) , outpatient medical records, etc.), all log-type databases. The development of electronic medical records today is based on the establishment of various vocabulary code tables and exchange of leaflets. Therefore, the medical database and how to convert it into a medical research data database with medical vocabulary code consistency and field alignment to meet the needs of large-scale and highly variable data input is a key technology that is urgently needed for development. Current technologies are difficult to meet the need to handle highly variable medical vocabulary input and conversion to a clinical research data repository.

ICD-9-CM(The International Classification of Diseases,9th Revision,Clinical Modification)係世界衛生組織所出版為進行流行病學、健康管理及臨床管理目的所發展出的標準診斷代碼,過去30多年來,一直為全球各國所運用。我國目前仍依照ICD-9-CM之標準診斷代碼撰寫病歷書以及進行病歷管理。因此,本領域迫切需要提供一種醫療資料登錄平台,可以從醫學中心之臨床門診病歷登錄中,或既有之ICD-9-CM標準資料庫中篩選出第一次診斷與治療之資料,並將其依照醫學詞彙代碼一致性及欄位化之方式儲存至另一臨床研究數據資料庫,以作為學術研究之用。 ICD-9-CM (The International Classification of Diseases, 9th Revision, Clinical Modification) is a standard diagnostic code developed by the World Health Organization for epidemiological, health management and clinical management purposes. Used by countries around the world. At present, China still uses the ICD-9-CM standard diagnostic code to write medical records and conduct medical records management. Therefore, there is an urgent need in the art to provide a medical data registration platform, which can screen the first diagnosis and treatment data from the clinical clinic medical record registration of the medical center or the existing ICD-9-CM standard database, and It is stored in another clinical research data database in accordance with the consistency and field of medical vocabulary code for academic research.

有鑑於此,本發明提供一種結合醫療流程之具可擴充性之醫療資料收集系統及其方法,藉由設定各種國際標準的詞彙代碼類別資訊(例如,ICD-9、ICD-10、ICD-O3T、ICD-O3M等)於數據編碼分類表中,並且結合數據詞彙控制表、數據詮釋參照表、邏輯控制資料表來控管數據 輸入介面與品質。根據醫療資料之不同診斷碼,設定指令及其對應之參數資料,將病人醫療資料分類儲存於資料庫中。因此透過上述之設定方式,研究者即可依照其所欲研究之醫學因子(變動性的醫學詞彙),將醫療資料儲存成一致性及欄位化的臨床研究數據資料庫中。 In view of the above, the present invention provides a scalable medical data collection system and method thereof, which are provided by setting various international standard vocabulary code category information (for example, ICD-9, ICD-10, ICD-O3T). , ICD-O3M, etc.) in the data coding classification table, and combined with the data vocabulary control table, the data interpretation reference table, the logic control data table to control the data Input interface and quality. According to the different diagnostic codes of the medical data, the instructions and their corresponding parameter data are set, and the patient medical data is classified and stored in the database. Therefore, through the above-mentioned setting method, the researcher can store the medical data into a consistent and field-oriented clinical research data database according to the medical factor (variable medical vocabulary) of the research to be studied.

本發明提供一種具可擴充性之醫療資料收集系統,其包含醫療資料分類模組、醫療資料寫入模組、資料庫讀取分析模組及醫療資料寫出模組。醫療資料分類模組依照四大知識表單:數據編碼分類表、數據詞彙控制表、數據詮釋參照表及邏輯控制資料表,適於針對至少一筆醫療資料,進行醫療專科分類。數據編碼分類表具有各種國際醫療疾病標準的詞彙代碼類別資訊,數據詞彙控制表具有變動性的醫學詞彙分類,數據詮釋參照表具有詮釋醫療詞彙之資料,邏輯控制資料表指定詞彙與詞彙之間的主從關係。醫療資料寫入模組適於將至少一筆醫療資料依照醫療資料分類模組中之資料寫入一資料庫。資料庫讀取分析模組具有數據編碼分類表、數據詞彙控制表、數據詮釋參照表及邏輯控制資料表,資料庫讀取分析模組適於將資料庫中之資料進行分類。醫療資料寫出模組依照資料庫讀取分析模組之分類資料,將所需之至少一筆醫療資料從資料庫中輸出至一目的資料。 The invention provides a scalable medical data collection system, which comprises a medical data classification module, a medical data writing module, a database reading and analyzing module and a medical data writing module. The medical data classification module is based on four knowledge forms: a data coding classification table, a data vocabulary control table, a data interpretation reference table, and a logical control data table, and is suitable for medical medical classification for at least one medical data. The data coding classification table has vocabulary code category information of various international medical disease standards, the data vocabulary control table has a variability of medical vocabulary classification, the data interpretation reference table has information for interpreting medical vocabulary, and the logical control data table specifies vocabulary and vocabulary Master-slave relationship. The medical data writing module is adapted to write at least one medical data into a database according to the data in the medical data classification module. The database reading analysis module has a data encoding classification table, a data vocabulary control table, a data interpretation reference table and a logic control data table, and the database reading analysis module is adapted to classify the data in the database. The medical data writing module reads the classified data of the analysis module according to the database, and outputs at least one medical data required from the database to the one-purpose data.

在本發明之一具體實施例中,上述之醫療資料分類模組更包括一特異因子分類表,具有各疾病之特異因子資訊。 In a specific embodiment of the present invention, the medical information classification module further includes a specific factor classification table, and has specific factor information of each disease.

在本發明之另一具體實施例中,上述之具可擴充性之醫療資料收集系統係適用於一網路通訊系統中,該網路通訊系統可以是一網際網路、企業網路或企業間網路。 In another embodiment of the present invention, the scalable medical data collection system is applicable to a network communication system, which may be an internet, a corporate network, or an enterprise. network.

在本發明之又一具體實施例中,上述之醫療資料寫入模組更包含一資料連接模組,可將至少一筆醫療資料之外部資料連結至資料庫。 In another embodiment of the present invention, the medical data writing module further includes a data connection module that can connect at least one external data of the medical data to the database.

在本發明之一具體實施例中,上述之目的資料是標記式語言文件,其中,目的資料可以是採用完整標記式語言技術(例如,XML)或是採用非完整標記式語言技術(例如,JSON)之文件。在本發明之另一具體實施例中,目的資料是符合CDA(Clinical Document Architecture)規範之文件。 In a specific embodiment of the present invention, the above-mentioned destination material is a markup language file, wherein the destination material may be a full markup language technology (for example, XML) or a non-complete markup language technology (for example, JSON). ) file. In another embodiment of the invention, the object of interest is a document conforming to the CDA (Clinical Document Architecture) specification.

本發明之具可擴充性之醫療資料收集系統之一具體實施例是應用於收集癌症資料之特殊領域中。一具可擴充性之癌症資料收集系統包含一癌症資料判斷模組與具可擴充性之醫療資料收集系統。癌症資料判斷模組可以判斷至少一筆醫療資料之診斷碼是否為癌症診斷碼,如果確定是癌症醫療資料,即可使用具可擴充性之醫療資料收集系統將其儲入癌症資料庫中。 One embodiment of the scalable medical data collection system of the present invention is in a particular field of application for collecting cancer data. A scalable cancer data collection system includes a cancer data judgment module and a scalable medical data collection system. The cancer data judgment module can determine whether the diagnostic code of at least one medical data is a cancer diagnosis code, and if it is determined to be a cancer medical data, it can be stored in a cancer database using a scalable medical data collection system.

為了將醫療資料有效的分類與管理,本發明更提供了一種醫療資料收集方法,其包含醫療資料分類程序、醫療資料寫入程序、資料庫讀取分析程序及醫療資料寫出程序。醫療資料分類程序係透過數據編碼分類表、數據詞彙控制表、數據詮釋參照表及邏輯控制資料表將至少一筆醫療資料進行分類,數據編碼分類表是具有各種國際醫療疾病標準的詞彙代碼類別資訊,數據詞彙控制表具有變動性的醫學詞彙分類,數據詮釋參照表具有詮釋醫療詞彙之資料,邏輯控制資料表指定詞彙與詞彙之間的主從關係。醫療資料寫入程序,適於將至少一筆醫療資料依照醫療資料分類 程序寫入一資料庫。資料庫讀取分析程序具有數據編碼分類表、數據詞彙控制表、數據詮釋參照表及邏輯控制資料表,資料庫讀取分析程序適於將資料庫中之資料進行分類。醫療資料寫出程序依照資料庫讀取分析程序之分類資料,將所需之至少一筆醫療資料從資料庫中輸出至一目的資料。 In order to effectively classify and manage medical materials, the present invention further provides a medical data collection method, which comprises a medical data classification program, a medical data writing program, a database reading analysis program, and a medical data writing program. The medical data classification program classifies at least one medical data through a data coding classification table, a data vocabulary control table, a data interpretation reference table, and a logical control data table. The data coding classification table is lexical code category information having various international medical disease standards. The data vocabulary control table has a variability of medical vocabulary classification, the data interpretation reference table has information for interpreting medical vocabulary, and the logical control data table specifies a master-slave relationship between vocabulary and vocabulary. Medical data writing procedure suitable for classifying at least one medical data according to medical data The program is written to a database. The database reading analysis program has a data encoding classification table, a data vocabulary control table, a data interpretation reference table and a logic control data table, and the database reading analysis program is suitable for classifying the data in the database. The medical data writing program outputs the at least one medical data required from the database to the one-purpose data according to the classified data of the analytical program.

本發明更提供一癌症資料收集方法,係用於一具可擴充性之癌症資料收集系統中,該方法包含一癌症資料判斷程序及上述之醫療資料收集方法,其中癌症資料判斷程序判斷至少一筆醫療資料之診斷碼是否為癌症診斷碼。 The present invention further provides a cancer data collection method for use in a scalable cancer data collection system, the method comprising a cancer data determination program and the above medical data collection method, wherein the cancer data determination program determines at least one medical treatment Whether the diagnostic code of the data is a cancer diagnosis code.

無須進一步的闡述,咸相信本發明所屬技術領域中具有通常知識者基於前述說明即可利用本發明至最廣的程度。因此,可以理解以下的說明僅僅是作為例示說明之用,而非以任何方式限制其餘的揭露內容。 Without further elaboration, it is believed that those of ordinary skill in the art of Therefore, it is to be understood that the following description is for illustrative purposes only and is not intended to limit the disclosure.

為讓本發明之上述和其他目的、特徵和優點能更明顯易懂,下文特舉較佳實施例,並配合所附圖式,作詳細說明如下。 The above and other objects, features and advantages of the present invention will become more <RTIgt;

1‧‧‧具可擴充性之醫療資料收集系統 1‧‧‧Scalable medical data collection system

10‧‧‧醫療資料分類模組 10‧‧‧ Medical Information Classification Module

11‧‧‧至少一筆醫療資料 11‧‧‧ At least one medical information

12‧‧‧數據編碼分類表 12‧‧‧Data Code Classification Table

13‧‧‧數據詞彙控制表 13‧‧‧Data vocabulary control table

14‧‧‧數據詮釋參照表 14‧‧‧Data interpretation reference table

15‧‧‧邏輯控制資料表 15‧‧‧Logic Control Data Sheet

16‧‧‧癌症資料判斷模組 16‧‧‧ Cancer Data Judgment Module

20‧‧‧醫療資料寫入模組 20‧‧‧ medical data writing module

30‧‧‧資料庫讀取分析模組 30‧‧‧Database Read Analysis Module

40‧‧‧醫療資料寫出模組 40‧‧‧ Medical data writing module

50‧‧‧資料庫 50‧‧‧Database

60‧‧‧目的資料 60‧‧‧Information

70‧‧‧醫療資料收集模組 70‧‧‧ medical data collection module

80‧‧‧癌症資料庫 80‧‧‧ Cancer Database

90‧‧‧醫療資料讀取模組 90‧‧‧ medical data reading module

100‧‧‧具可擴充性之癌症資料收集系統 100‧‧‧Scalable cancer data collection system

110‧‧‧醫療資料分類程序 110‧‧ Medical data classification procedures

120‧‧‧醫療資料寫入程序 120‧‧ Medical data writing procedures

130‧‧‧資料庫讀取分析程序 130‧‧‧Database reading analysis program

140‧‧‧醫療資料寫出程序 140‧‧‧ Medical information writing procedures

170‧‧‧醫療資料收集程序 170‧‧ Medical data collection procedures

180‧‧‧癌症資料判斷程序 180‧‧‧ Cancer data judgment procedure

190‧‧‧醫療資料讀取程序 190‧‧ Medical data reading program

200‧‧‧醫療資料收集方法 200‧‧ Medical data collection methods

300‧‧‧癌症資料收集方法 300‧‧‧Methods for collecting cancer data

第1圖係根據本發明之一具體實施例之具可擴充性之醫療資料收集系統的基本架構示意圖。 1 is a schematic diagram of the basic architecture of a scalable medical data collection system in accordance with an embodiment of the present invention.

第2圖係根據本發明之一具體實施例之醫療資料收集模組示意圖。 2 is a schematic diagram of a medical data collection module in accordance with an embodiment of the present invention.

第3圖係根據本發明之一具體實施例之具可擴充性之癌症資料收集系統之示意圖。 Figure 3 is a schematic illustration of a scalable cancer data collection system in accordance with an embodiment of the present invention.

第4圖係根據本發明之一具體實施例之具可擴充性之癌症 資料收集系統之流程圖。 Figure 4 is a scalable cancer according to an embodiment of the present invention Flow chart of the data collection system.

第5圖為本發明之一具體實施例之數據編碼分類表。 Figure 5 is a data encoding classification table in accordance with an embodiment of the present invention.

第6圖為本發明之另一具體實施例之數據編碼分類表。 Figure 6 is a data encoding classification table of another embodiment of the present invention.

第7圖為本發明之一具體實施例之數據詞彙控制表。 Figure 7 is a data vocabulary control table in accordance with an embodiment of the present invention.

第8圖為本發明之另一具體實施例之數據詞彙控制表。 Figure 8 is a data vocabulary control table of another embodiment of the present invention.

第9圖為本發明之一具體實施例之數據詮釋參照表。 Figure 9 is a data interpretation reference table of one embodiment of the present invention.

第10圖為本發明之另一具體實施例之邏輯控制資料表。 Figure 10 is a logic control data sheet of another embodiment of the present invention.

第11圖為本發明之一具體實施例之將數據詞彙寫入癌症資料庫。 Figure 11 is a diagram of a data vocabulary written into a cancer database in accordance with one embodiment of the present invention.

第12圖係根據本發明之一具體實施例之醫療資料讀取模組示意圖。 Figure 12 is a schematic diagram of a medical data reading module in accordance with an embodiment of the present invention.

第13圖係根據本發明醫療資料收集方法之一具體實施例。 Figure 13 is a specific embodiment of a medical data collection method according to the present invention.

第14圖係根據本發明醫療資料收集程序之一具體實施例。 Figure 14 is a specific embodiment of a medical data collection procedure in accordance with the present invention.

第15圖係根據本發明醫療資料讀取程序之一具體實施例。 Fig. 15 is a view showing a specific embodiment of the medical data reading program according to the present invention.

第16圖係根據本發明癌症資料收集方法之一具體實施例。 Figure 16 is a specific embodiment of a method of collecting cancer data according to the present invention.

除非另有指明,所有在此處使用的技術性和科學性術語具有如同本發明所屬技藝中之通常技術者一般所瞭解的意義。 All technical and scientific terms used herein have the meaning as commonly understood by one of ordinary skill in the art to which the invention pertains, unless otherwise indicated.

本文中所使用的「一」乙詞,如未特別指明,係指至少一個(一個或一個以上)之數量。 The term "a" as used herein, unless otherwise specified, refers to the quantity of at least one (one or more).

第1圖與第2圖係分別為本發明之一具體實施例之具可擴充性之醫療資料收集系統的基本架構示意圖以及醫療資料收集模組示意 圖。請參考第1圖與第2圖,本發明之具可擴充性之醫療資料收集系統1包含:醫療資料分類模組10、醫療資料寫入模組20、資料庫讀取分析模組30以及醫療資料寫出模組40。其中,適於針對至少一筆醫療資料11進行醫療專科分類之醫療資料分類模組10,其具有數據編碼分類表12、數據詞彙控制表13、數據詮釋參照表14及邏輯控制資料表15。數據編碼分類表12是具有各種國際醫療疾病標準的詞彙代碼類別資訊,數據詞彙控制表13具有變動性的醫學詞彙分類,數據詮釋參照表14具有詮釋醫療詞彙之資料,邏輯控制資料表15指定詞彙與詞彙之間的主從關係。醫療資料寫入模組20,適於將至少一筆醫療資料11依照醫療資料分類模組10中之資料寫入一資料庫50。醫療資料收集模組70包含醫療資料分類模組10與醫療資料寫入模組20。 1 and 2 are respectively a schematic diagram of a basic structure of a medical data collection system with extensibility and a medical data collection module according to an embodiment of the present invention. Figure. Please refer to FIG. 1 and FIG. 2 . The extensible medical data collection system 1 of the present invention comprises: a medical data classification module 10 , a medical data writing module 20 , a database reading and analyzing module 30 , and medical treatment . The data is written out of the module 40. The medical data classification module 10 suitable for medical professional classification for at least one medical data 11 has a data encoding classification table 12, a data vocabulary control table 13, a data interpretation reference table 14, and a logical control data table 15. The data coding classification table 12 is vocabulary code category information having various international medical disease standards, the data vocabulary control table 13 has a variability of medical vocabulary classification, the data interpretation reference table 14 has information for interpreting medical vocabulary, and the logical control data table 15 specifies vocabulary. The master-slave relationship with the vocabulary. The medical data writing module 20 is adapted to write at least one medical data 11 into a database 50 according to the data in the medical data classification module 10. The medical data collection module 70 includes a medical data classification module 10 and a medical data writing module 20.

在本發明之一具體實施例中,醫療資料分類模組10更可以包含一特異因子分類表。在特異因子分類表中具有各種疾病之特異因子資訊,以提供醫療資料分類模組10針對至少一筆醫療資料11進行資料分類。 In a specific embodiment of the present invention, the medical data classification module 10 may further include a specific factor classification table. The specific factor classification table has information on specific factors of various diseases, so as to provide the medical data classification module 10 to classify the data for at least one medical data 11.

本發明之具可擴充性之醫療資料收集系統1中,數據編碼分類表12內建置可參照各種國際醫療疾病標準的詞彙代碼類別資訊,包括但不限於ICD-9、ICD-9-CM、ICD-10、ICD-O3T、ICD-O3M、LONIC、SNOMED等。數據編碼分類表12可以結合數據詞彙控制表13、數據詮釋參照表14及邏輯控制資料表15來控管數據輸入介面與品質。根據每一筆醫療資料11之不同診斷碼,設定指令及其對應之參數資料,將病人之醫療資料11分類儲存於資料庫50中。透過上述之方式,研究者即可依照其所欲研究之醫學因子(變動性的醫學詞彙),將至少一筆醫療資料11儲存成一致性、 欄位化的臨床研究數據資料庫中。 In the scalable medical data collection system 1 of the present invention, the vocabulary code category information of various international medical disease standards can be built in the data coding classification table 12, including but not limited to ICD-9, ICD-9-CM, ICD-10, ICD-O3T, ICD-O3M, LONIC, SNOMED, etc. The data encoding classification table 12 can control the data input interface and quality in conjunction with the data vocabulary control table 13, the data interpretation reference table 14, and the logical control data table 15. The patient's medical data 11 is stored in the database 50 according to the different diagnostic codes of each medical data 11, the setting instructions and their corresponding parameter data. Through the above method, the researcher can store at least one medical data 11 as consistency according to the medical factor (variable medical vocabulary) he wants to study. Fields of clinical research data in the database.

醫學臨床資料庫之建立可提供必要之數據進行分析以了解兩個或多個變數之間的關係,例如,是否相關、相關方向或強度。根據本發明之一具體實施例,可將兩個或多個變數之間建立一數學模型,依自變數(X)預測對應於自變數之依變數(Y)的表現情形,例如於資料庫中選擇適當數據進行統計分析。迴歸分析是一種數據分析之方法,本研究主要是利用迴歸分析之原理,設定一未知參數β,其可以是純量或向量、將Y和一個關於X和β的函數關聯起來(Yf(X,β))。 The establishment of a medical clinical database can provide the necessary data for analysis to understand the relationship between two or more variables, such as whether it is relevant, related direction or intensity. According to an embodiment of the present invention, a mathematical model may be established between two or more variables, and the representation of the dependent variable (Y) corresponding to the independent variable may be predicted according to the independent variable (X), for example, in a database. Select the appropriate data for statistical analysis. Regression analysis is a method of data analysis. This study mainly uses the principle of regression analysis to set an unknown parameter β, which can be a scalar or vector, and associates Y with a function of X and β (Y). f(X, β)).

請再參閱第2圖,在本發明之一具體實施例中,具可擴充性之醫療資料收集系統1以五個階段方式來收集醫療資料:(1)首先,根據各種國際醫療疾病標準的詞彙庫建立數據編碼分類表12;(2)再將變動性的醫學詞彙分類建立於數據詞彙控制表13中,例如針對疾病之數值型態、數值單位、數值個數、數值判斷基準值、數據重要度、類別控制、及資料詮釋參照表關聯;(3)同時將詮釋醫療詞彙的資料建立於數據詮釋參照表14中;(4)接著透過邏輯控制資料表15指定詞彙與詞彙間的主從關係;(5)最後再根據參數資料的不同,設定指令及其對應之醫療詞彙,指令包括查詢、更新、預存程式、選擇以及遞迴等。參數資料為執行指令時所需之參數,依照不同病人及疾病之分類資訊,將醫療資料寫入資料庫50。 Referring to FIG. 2 again, in one embodiment of the present invention, the scalable medical data collection system 1 collects medical materials in five stages: (1) First, vocabulary according to various international medical disease standards. The library establishes a data coding classification table 12; (2) further establishes a variability medical vocabulary classification in the data vocabulary control table 13, for example, for a numerical type of a disease, a numerical unit, a numerical value, a numerical value, a reference value, and an important data. Degree, category control, and data interpretation refer to the table; (3) simultaneously interpret the medical vocabulary data in the data interpretation reference table 14; (4) then specify the master-slave relationship between the vocabulary and the vocabulary through the logical control data table 15 (5) Finally, according to the parameter data, the instruction and its corresponding medical vocabulary are set. The instructions include query, update, pre-stored program, selection and recursion. The parameter data is the parameters required to execute the instruction, and the medical data is written into the database 50 according to the classification information of different patients and diseases.

在本發明之一較佳實施例中,具可擴充性之醫療資料收集系統1可進一步做為一具可擴充性之癌症資料收集系統100,該具可擴充性之癌症資料收集系統100包含有一癌症資料判斷模組16與該具可擴充性之醫療資料收集系統1。第3圖係根據本發明之一具體實施例之具可擴充性之 癌症資料收集系統之示意圖,第4圖係根據本發明之一具體實施例之具可擴充性之癌症資料收集系統之流程圖,請參閱第3圖與第4圖,在此實施例中,醫院經由門診、急診、住院或醫療資料系統資料庫之方式新增了一筆病人之醫療資料11,本發明之具可擴充性之癌症資料收集系統100會先由癌症資料判斷模組16判斷該筆醫療資料11之診斷碼是否為癌症,如果診斷碼屬於癌症碼,則癌症資料判斷模組16則會繼續至癌症資料庫80中進行比對,比對癌症資料庫80中是否已儲存此筆醫療資料11。經過比對,如果該癌症病人之醫療資料11為全新之資料,則具可擴充性之醫療資料收集系統1就會依照前述之五個階段方式來收集醫療資料11,當資料收集完成之後,醫療資料寫入模組20即可將全新之病人醫療資料11儲存至癌症資料庫80中。 In a preferred embodiment of the present invention, the scalable medical data collection system 1 can further be implemented as a scalable cancer data collection system 100. The scalable cancer data collection system 100 includes a The cancer data judging module 16 and the extensible medical data collecting system 1. Figure 3 is a scalable embodiment of an embodiment of the present invention A schematic diagram of a cancer data collection system, and FIG. 4 is a flow chart of a scalable cancer data collection system according to an embodiment of the present invention. Referring to Figures 3 and 4, in this embodiment, the hospital A patient's medical data is added via the outpatient, emergency, inpatient or medical data system database. The scalable cancer data collection system 100 of the present invention first determines the medical treatment by the cancer data determination module 16. Whether the diagnostic code of the data 11 is cancer or not, if the diagnostic code belongs to the cancer code, the cancer data judging module 16 continues to the cancer database 80 for comparison, and compares whether the medical data has been stored in the cancer database 80. 11. After comparison, if the medical data of the cancer patient 11 is brand new, the scalable medical data collection system 1 collects the medical data according to the above five stages. After the data collection is completed, the medical treatment is completed. The data writing module 20 can store the brand new patient medical data 11 into the cancer database 80.

在本發明之具可擴充性之醫療資料收集系統1之程式是全自動地將所欲搜集研究之醫學因子準備好。有些因子必須經過函數的一次轉換才能得到另一因子,有些則是必須經過因子與另一因子之多次函數轉換才能得到所須因子。在本發明之具可擴充性之癌症資料收集系統100中,因為癌症研究資料還必須包括腫瘤的位置與大小型態(ICD-O3T與ICD-O3M),程式必須透過2次的轉換,才能計算出該癌症所屬之類別。為了謹慎的進行資料分類與儲存,在另一實施例中,也可以在程式進行一次轉換時,再加上人工之方式進行檢驗。透過人工方式確認後,如果有不好之資料則會將其移除或補全,只有完整之醫療資料才能儲入資料庫。 The program of the extensible medical data collection system 1 of the present invention is fully automated to prepare the medical factors for which the research is to be collected. Some factors must undergo one conversion of the function to get another factor, while others must be converted by multiple functions of the factor and another factor to get the required factor. In the scalable cancer data collection system 100 of the present invention, since the cancer research data must also include the location and size of the tumor (ICD-O3T and ICD-O3M), the program must be converted through 2 conversions in order to calculate The category to which the cancer belongs. In order to carefully classify and store data, in another embodiment, it may also be tested manually when the program performs a conversion. After confirmation by manual means, if there is bad information, it will be removed or completed, and only the complete medical data can be stored in the database.

在本發明之具可擴充性之癌症資料收集系統100中,系統程式具有自動偵測之功能,當病人入院登計資料後,該筆資料就會被程式 偵測到。另外,癌症通常是由不同專科所共同負責,因此,當程式偵測到癌症資料時,即透過程式內建之演算法去計算出該癌症資料所屬之多專科之團隊,而該筆醫療資料11即可依多專科團隊之分類存入癌症資料庫80中。 In the scalable cancer data collection system 100 of the present invention, the system program has an automatic detection function, and when the patient enters the hospital to register the data, the data is programmed. Detected. In addition, cancer is usually handled by different specialists. Therefore, when the program detects cancer data, it calculates the multi-specialty team of the cancer data through the built-in algorithm. It can be stored in the cancer database 80 according to the classification of the multi-disciplinary team.

值得一提的是,具可擴充性之醫療資料收集系統1需要進行大規模資料輸入之過程中,可以使用多台電腦所組成之大型叢集,並且以一種平行運算方式處理大量資料。在函數編程中以Map(鍵/值序對組)為基礎,其觀念類似於演算法中各個擊破的作法,也就是將問題分解成很多個小問題之後再做總和,最後再將本系統以數據詞彙控制表13、數據詮釋參照表14及邏輯控制資料表15來控制結果。 It is worth mentioning that the scalable medical data collection system 1 requires a large cluster of multiple computers and a large amount of data to be processed in a parallel operation. In function programming, based on Map (key/value sequence pair group), the concept is similar to the various broken methods in the algorithm, that is, the problem is decomposed into many small problems and then summed. Finally, the system is The data vocabulary control table 13, the data interpretation reference table 14 and the logical control data table 15 control the results.

以下,本發明之具可擴充性之癌症資料收集系統100將以一具體實施例及圖式配合說明,詳細描述如何將每一筆醫療資料11寫入癌症資料庫80。 Hereinafter, the expandable cancer data collection system 100 of the present invention will describe in detail how to write each medical data 11 into the cancer database 80 in a specific embodiment and schema.

某位女性病患因右乳房外上方腫瘤至醫院求診,經過一系列檢查後確認為第一期乳癌患者,醫師於門診給予ICD-9診斷碼為174.9。在本發明之數據編碼分類表12中已經建立了各種國際醫療疾病標準的詞彙代碼類別資訊(ICD-9、ICD-9-CM、ICD-10、ICD-O3T、ICD-O3M、LONIC、SNOMED等,如第5圖所示),因此本發明之具可擴充性之癌症資料收集系統100會判斷該筆資料之診斷碼是否為癌症診斷碼。然後該具可擴充性之癌症資料收集系統100會比對癌症資料庫80中是否已有此筆醫療資料11。在沒有該筆醫療資料11之情況下,具可擴充性之癌症資料收集系統100進入病人分專科與資料品管流程。此時,數據編碼分類表12上呈現出ICD9 診斷碼為174.4、ICD-O3T診斷碼為C50.4、ICD-O3M診斷碼為M8500/3及多專科為BREAST(如第6圖所示)。 A female patient was referred to the hospital for treatment of the tumor outside the right breast. After a series of examinations, she was confirmed as the first stage breast cancer patient. The doctor gave the ICD-9 diagnosis code of 174.9 in the clinic. The vocabulary code category information of various international medical disease standards (ICD-9, ICD-9-CM, ICD-10, ICD-O3T, ICD-O3M, LONIC, SNOMED, etc.) has been established in the data coding classification table 12 of the present invention. As shown in Fig. 5, the scalable cancer data collection system 100 of the present invention determines whether the diagnostic code of the data is a cancer diagnosis code. The scalable cancer data collection system 100 then compares whether the medical data is available in the cancer database 80. In the absence of the medical data 11, the scalable cancer data collection system 100 enters the patient sub-specialty and data quality management process. At this time, ICD9 is presented on the data coding classification table 12. The diagnostic code is 174.4, the ICD-O3T diagnostic code is C50.4, the ICD-O3M diagnostic code is M8500/3, and the multi-specialty is BREAST (as shown in Figure 6).

如果醫師或研究者希望研究乳癌IHC4 Score乳癌復發風險評估指數與相關變數之間關係時,可以定義自變數(X_i)、依變數(Y_i)及函數F(X_i),其中,X_1為動情激素接受體(ER%)、X_2為黃體激素接受體(PR%)、X_3為人類表皮生長因子接受體(Her2)、X_4為細胞增殖指標(Ki67%)、Y_1為乳癌復發風險評估指數(IHC4 Score)、函數F(IHC4 Score)=94.7 x[-0.100 ER10-0.079 PgR10+0.586 Her2+0.240 ln(1+10x Ki67)]。 If a physician or investigator wishes to study the relationship between the breast cancer IHC4 Score breast cancer recurrence risk assessment index and related variables, the independent variable (X_i), the dependent variable (Y_i), and the function F(X_i) can be defined, where X_1 is the estrus hormone receptor. Body (ER%), X_2 is a progesterone receptor (PR%), X_3 is a human epidermal growth factor receptor (Her2), X_4 is a cell proliferation index (Ki67%), and Y_1 is a breast cancer recurrence risk assessment index (IHC4 Score). , function F (IHC4 Score) = 94.7 x [-0.100 ER10-0.079 PgR10 + 0.586 Her2+0.240 ln (1 + 10 x Ki67)].

為了依照研究者所欲研究疾病之項目搜集資料,可以於數據詞彙控制表13中,針對疾病之數值型態、數值單位、數值個數、數值判斷基準值、數據重要度、類別控制、資料詮釋參照表關聯等資料預先做設定(如第7圖與第8圖所示);為了詮釋數據的屬性以及保持資料品質之一致化與標準化,將詮釋醫療詞彙的資料建立於數據詮釋參照表14中(如第9圖所示);邏輯控制資料表15則指定詞彙與詞彙間的主從關係,設定IHC4為主階層,ER、PR、HER2及Ki67%為次階層(如第10圖所示);最後病人之資料確認完成後,即可依照病人分群之方式將該筆醫療資料11儲存至癌症資料庫80中;最後該筆醫療資料則依不同病人及疾病分類資訊,執行指令以先深後廣搜尋方式進行,將數據詞彙寫入癌症資料庫80(如第11圖所示)。 In order to collect data according to the researcher's research project, in the data vocabulary control table 13, for the numerical type of the disease, the numerical unit, the number of numerical values, the numerical value of the reference value, the data importance, the category control, the data interpretation Refer to the table association and other data to make the settings in advance (as shown in Figure 7 and Figure 8); in order to interpret the attributes of the data and maintain the consistency and standardization of the data quality, the data of the interpretation of the medical vocabulary is established in the data interpretation reference table 14. (As shown in Figure 9); Logical Control Data Table 15 specifies the master-slave relationship between vocabulary and vocabulary, setting IHC4 as the main level, ER, PR, HER2, and Ki67% as the secondary level (as shown in Figure 10). After the final confirmation of the patient's data, the medical data 11 can be stored in the cancer database 80 according to the patient's grouping; finally, the medical data is executed according to different patient and disease classification information. The wide search method is performed, and the data vocabulary is written into the cancer database 80 (as shown in Fig. 11).

第12圖係根據本發明之一具體實施例之醫療資料讀取模組示意圖,請參閱第12圖,本發明之醫療資料讀取模組90包含資料庫讀取 分析模組30與醫療資料寫出模組40。該資料庫讀取分析模組30包含數據編碼分類表12、數據詞彙控制表13、數據詮釋參照表14及邏輯控制資料表15,該資料庫讀取分析模組30適於將資料庫中之資料進行分析與分類。醫療資料寫出模組40,依照該資料庫讀取分析模組30之分類資料,將所需之該至少一筆醫療資料11從該資料庫50中輸出至一目的資料60。當研究人員或醫生欲從本發明之具可擴充性之醫療資料收集系統1所產生之資料庫50中抓取資料時,必須結合資料庫讀取分析模組30與醫療資料寫出模組40以將資料輸出至目的資料60。 12 is a schematic diagram of a medical data reading module according to an embodiment of the present invention. Referring to FIG. 12, the medical data reading module 90 of the present invention includes a database reading. The analysis module 30 and the medical data writing module 40 are provided. The database read analysis module 30 includes a data code classification table 12, a data vocabulary control table 13, a data interpretation reference table 14 and a logic control data table 15, and the database read analysis module 30 is adapted to be used in the database. Data for analysis and classification. The medical data write module 40 reads the classified data of the analysis module 30 according to the database, and outputs the required at least one medical data 11 from the database 50 to a destination data 60. When a researcher or a doctor wants to retrieve data from the database 50 generated by the extensible medical data collection system 1 of the present invention, the analysis module 30 and the medical data writing module 40 must be combined with the database. To output the data to the destination data 60.

目的資料60可以是一般格式文件(例如,PDF、Word、JPG等檔案),也可以是程式化格式文件。當目的資料60為標記式語言(JSON或XML等)文件時,執行醫療資料寫出模組40抓取資料庫50並結合數據詞彙控制表13、數據詮釋參照表14及邏輯控制資料表15至輸出節點,將分派所得的資料輸出至目的資料60中的指定位置上。執行指令可將分派所得之資料設至該指令節點之參數節點,再執行該指令。分派以各個擊破的方式進行。重覆此步驟直到所有參數資料處理完畢為止。值得一提的是,目的資料60可以是符合CDA(Clinical Document Architecture)規範之文件。CDA是針對臨床文件提供完整的文法規則與所有語義規範的完整架構,其可包含任何型態的臨床資料。一般CDA文件可以是出院病摘、影像報告、初診記錄、病理報告等。CDA可以採用完整標記式語言技術(例如,XML)或是非完整標記式語言技術(例如,JSON)之文件。 The destination data 60 can be a general format file (for example, PDF, Word, JPG, etc.) or a stylized format file. When the destination data 60 is a markup language (JSON or XML, etc.) file, the execution medical data writing module 40 captures the database 50 and combines the data vocabulary control table 13, the data interpretation reference table 14 and the logic control data table 15 to The output node outputs the distributed data to a specified location in the destination data 60. The execution instruction can set the data obtained by the dispatch to the parameter node of the instruction node, and then execute the instruction. Dispatch is done in a variety of ways. Repeat this step until all parameter data has been processed. It is worth mentioning that the destination material 60 may be a document conforming to the CDA (Clinical Document Architecture) specification. CDA is a complete framework for providing complete grammar rules and all semantic specifications for clinical documents, which can include clinical data of any type. General CDA files can be discharged from hospitals, video reports, initial diagnosis records, pathology reports, etc. CDA can use full markup language technology (eg, XML) or non-complete markup language technology (eg, JSON) files.

第13圖係根據本發明醫療資料收集方法之一具體實施例,第14圖係根據本發明醫療資料收集程序之一具體實施例,第15圖係根據本 發明醫療資料讀取程序之一具體實施例。參閱13-15圖,為了將醫療資料11有效的分類與管理,本發明醫療資料收集方法200包含:醫療資料分類程序110、醫療資料寫入程序120、資料庫讀取分析程序130及醫療資料寫出程序140。醫療資料收集程序170包含醫療資料分類程序110及醫療資料寫入程序120,醫療資料讀取程序190包含資料庫讀取分析程序130及醫療資料寫出程序140。醫療資料分類程序110係透過數據編碼分類表12、數據詞彙控制表13、數據詮釋參照表14及邏輯控制資料表15將至少一筆醫療資料11進行分類,數據編碼分類表12是具有各種國際醫療疾病標準的詞彙代碼類別資訊,數據詞彙控制表13具有變動性的醫學詞彙分類,數據詮釋參照表14具有詮釋醫療詞彙之資料,邏輯控制資料表15指定詞彙與詞彙之間的主從關係;醫療資料寫入程序120,適於將至少一筆醫療資料依照醫療資料分類程序110寫入一資料庫;資料庫讀取分析程序130具有數據編碼分類表12、數據詞彙控制表13、數據詮釋參照表14及邏輯控制資料表15,資料庫讀取分析程序130適於將資料庫中之資料進行分類;醫療資料寫出程序140依照資料庫讀取分析程序130之分類資料,將所需之至少一筆醫療資料11從資料庫50中輸出至一目的資料60。 Figure 13 is a specific embodiment of a medical data collection method according to the present invention, and Figure 14 is a specific embodiment of the medical data collection procedure according to the present invention, and Figure 15 is based on the present invention. A specific embodiment of the invention medical data reading program. Referring to Figures 13-15, in order to effectively classify and manage the medical data 11, the medical data collection method 200 of the present invention comprises: a medical data classification program 110, a medical data writing program 120, a database reading analysis program 130, and medical data writing. The program 140 is output. The medical data collection program 170 includes a medical data classification program 110 and a medical data writing program 120. The medical data reading program 190 includes a database reading analysis program 130 and a medical material writing program 140. The medical data classification program 110 classifies at least one medical data 11 through the data coding classification table 12, the data vocabulary control table 13, the data interpretation reference table 14, and the logical control data table 15, and the data coding classification table 12 has various international medical diseases. Standard vocabulary code category information, data vocabulary control table 13 has a variability of medical vocabulary classification, data interpretation reference table 14 has information for interpreting medical vocabulary, and logical control data table 15 specifies a master-slave relationship between vocabulary and vocabulary; medical data The writing program 120 is adapted to write at least one medical data into a database according to the medical data classification program 110; the database reading analysis program 130 has a data encoding classification table 12, a data vocabulary control table 13, a data interpretation reference table 14 and The logic control data table 15, the database read analysis program 130 is adapted to classify the data in the database; the medical data writing program 140 reads the classified data of the analysis program 130 according to the database, and uses at least one medical data required. 11 is output from the database 50 to a destination data 60.

本發明更提供一癌症資料收集方法300(如第16圖所示),該方法包含一癌症資料判斷程序180及上述之醫療資料收集方法200,其中癌症資料判斷程序180判斷至少一筆醫療資料11之診斷碼是否為癌症診斷碼,如果診斷碼是屬於癌症碼並且是全新的一筆醫療資料,則本發明醫療資料收集方法200會依照醫療資料分類程序110之五個階段方式收集醫療資料11並儲存至癌症資料庫80中。 The present invention further provides a cancer data collection method 300 (shown in FIG. 16), the method comprising a cancer data determination program 180 and the medical data collection method 200 described above, wherein the cancer data determination program 180 determines at least one medical data 11 Whether the diagnostic code is a cancer diagnosis code, if the diagnosis code is a cancer code and is a brand new medical data, the medical data collection method 200 of the present invention collects the medical data 11 according to the five stages of the medical data classification process 110 and stores it to Cancer database 80.

在本發明之癌症資料收集方法300中,醫療資料分類程序110更包括一特異因子輸入程序,可將癌症之部位與形態寫入資料庫。值得一提的是,特異因子輸入程序包含單一因子輸入功能與複合式因子輸入功能,複合式因子輸入功能可先計算出複數個因子之間關係,再以複數個因子方式寫入資料庫。 In the cancer data collection method 300 of the present invention, the medical data classification program 110 further includes a specific factor input program for writing the location and morphology of the cancer into the database. It is worth mentioning that the specific factor input program includes a single factor input function and a composite factor input function. The composite factor input function can first calculate the relationship between a plurality of factors, and then write the data to the database in a plurality of factors.

綜上所述,本發明具可擴充性之醫療資料收集系統及其方法至少具有下列優點:(1)藉由醫療資料分類模組10之數據編碼分類表12、數據詞彙控制表13、數據詮釋參照表14及邏輯控制資料表15,可將至少一筆醫療資料11進行分類,因此可以達到現行技術均難以處理高變動性醫療詞彙輸入以及轉換成研究臨床資料庫的需求;(2)藉由設定各種國際標準的詞彙代碼類別資訊(例如ICD-9、ICD-9-CM、ICD-10、ICD-O3T、ICD-O3M、LONIC、SNOMED等)於數據編碼分類表12中,可以將現有之醫療資料庫轉換成具有醫學詞彙代碼一致性及欄位化的臨床研究數據資料庫;(3)針對癌症具有多專科、癌症特異因子及不同癌症位置與形態之分類,存入資料庫中,以建立完善及具可擴充性之癌症資料庫;(4)結合標準臨床作業流程,以確保完整正確之癌症研究資料登錄,提供可靠之各種治療前臨床參數、治療毒性副作用與併發症的記錄,治療後之腫瘤反應、復發模式、病人生活品質與存活結果,進而作為後續多變數癌症研究因果分析的依據。 In summary, the scalable medical data collection system and method of the present invention have at least the following advantages: (1) data coding classification table 12 by medical material classification module 10, data vocabulary control table 13, data interpretation Referring to Table 14 and the Logical Control Data Table 15, at least one medical data 11 can be classified, so that it is difficult to deal with the demand for highly variable medical vocabulary input and conversion into a research clinical database; (2) by setting Various international standard vocabulary code category information (such as ICD-9, ICD-9-CM, ICD-10, ICD-O3T, ICD-O3M, LONIC, SNOMED, etc.) in the data coding classification table 12, the existing medical treatment can be The database is transformed into a clinical research data database with medical vocabulary code consistency and fieldization; (3) a multi-specialty, cancer-specific factor, and classification of different cancer locations and morphologies for cancer, stored in a database to establish Complete and scalable cancer database; (4) Combine standard clinical workflows to ensure complete and correct cancer research data registration, providing reliable pre-treatment clinical parameters Treatment of toxic side effects and complications of the record, after the treatment of tumor response, recurrence patterns, patient quality of life and survival outcome, and thus as a basis for subsequent multivariate causal analysis of cancer research.

本領域的技藝人士會理解可對前述具體實施例進行改變而不偏離其廣義之發明概念。因此,應明瞭本發明不受限於所揭示之特定具體實施例,而是涵蓋所附申請專利範圍所定義的精神及範圍內之修飾。 Those skilled in the art will appreciate that the foregoing specific embodiments may be modified without departing from the broad inventive concepts. Therefore, it is intended that the invention not be limited the

1‧‧‧具可擴充性之醫療資料收集系統 1‧‧‧Scalable medical data collection system

10‧‧‧醫療資料分類模組 10‧‧‧ Medical Information Classification Module

11‧‧‧至少一筆醫療資料 11‧‧‧ At least one medical information

20‧‧‧醫療資料寫入模組 20‧‧‧ medical data writing module

30‧‧‧資料庫讀取分析模組 30‧‧‧Database Read Analysis Module

40‧‧‧醫療資料寫出模組 40‧‧‧ Medical data writing module

50‧‧‧資料庫 50‧‧‧Database

60‧‧‧目的資料 60‧‧‧Information

Claims (16)

一種具可擴充性之醫院中病人醫療資料收集系統,包含:一病人醫療資料分類模組,適於針對至少一筆病人醫療資料進行醫療專科分類,具有一數據編碼分類表、一數據詞彙控制表、一數據詮釋參照表及一邏輯控制資料表,該數據編碼分類表具有各種國際醫療疾病標準的詞彙代碼類別資訊以呈現該病人醫療資料之一診斷碼,該數據詞彙控制表具有變動性的醫學詞彙分類,該數據詮釋參照表具有詮釋醫療詞彙之資料,該邏輯控制資料表指定詞彙與詞彙之間的主從關係;一病人醫療資料寫入模組,將被該病人醫療資料分類模組處理過後之該至少一筆病人醫療資料寫入一資料庫;一資料庫讀取分析模組,具有該數據編碼分類表、該數據詞彙控制表、該數據詮釋參照表及該邏輯控制資料表,該資料庫讀取分析模組將該資料庫中之該至少一筆病人醫療資料進行分類;以及一醫療資料寫出模組,依照該資料庫讀取分析模組之分類資料,將所需之該至少一筆病人醫療資料從該資料庫中輸出至一目的資料。 A hospital medical data collection system with expandability includes: a patient medical data classification module adapted to perform medical specialty classification on at least one patient medical data, having a data coding classification table, a data vocabulary control table, a data interpretation reference table and a logic control data table having vocabulary code category information of various international medical disease standards for presenting a diagnostic code of the patient medical data, the data vocabulary control table having a variable medical vocabulary Classification, the data interpretation reference table has information for interpreting the medical vocabulary, the logical control data table specifies the master-slave relationship between the vocabulary and the vocabulary; a patient medical data writing module will be processed by the patient medical data classification module The at least one patient medical data is written into a database; a database reading analysis module having the data encoding classification table, the data vocabulary control table, the data interpretation reference table, and the logic control data table, the database Reading the analysis module to enter the at least one patient medical data in the database Classification; and medical information write a module to read classified in accordance with the data analysis module of the database, the sum of the output data to a patient's medical information required for the purpose of at least from the database. 如申請專利範圍第1項所述之具可擴充性之醫院中病人醫療資料收集系統,其中該醫療資料分類模組更包括一特異因子分類表,具有各疾病之特異因子資訊。 The hospital medical data collection system of the hospital as described in claim 1, wherein the medical data classification module further comprises a specific factor classification table, and has specific factor information of each disease. 如申請專利範圍第1項所述之具可擴充性之醫院中病人 醫療資料收集系統,其中該具可擴充性之醫院中病人醫療資料收集系統係適用於一網路通訊系統中。 Patients in hospitals with expandability as described in item 1 of the patent application A medical data collection system in which the patient medical data collection system in the hospital is applicable to a network communication system. 如申請專利範圍第3項所述之具可擴充性之醫院中病人醫療資料收集系統,其中該網路通訊系統為一網際網路、企業網路或企業間網路。 The hospital medical data collection system of the hospital as described in claim 3, wherein the network communication system is an internet, a corporate network or an inter-enterprise network. 如申請專利範圍第1項所述之具可擴充性之醫院中病人醫療資料收集系統,其中該醫療資料寫入模組更包含一資料連接模組,可將該至少一筆病人醫療資料之外部資料連結至該資料庫。 The hospital medical data collection system of the hospital as described in claim 1 wherein the medical data writing module further comprises a data connection module for external data of at least one patient medical data. Link to this database. 如申請專利範圍第1項所述之具可擴充性之醫院中病人醫療資料收集系統,其中該目的資料是標記式語言文件。 The hospital medical data collection system in a hospital as described in claim 1 of the patent application, wherein the purpose data is a markup language file. 如申請專利範圍第1項所述之具可擴充性之醫院中病人醫療資料收集系統,其中該目的資料是符合CDA(Clinical Document Architecture)規範之文件。 The hospital medical data collection system of the hospital as described in claim 1 of the patent application, wherein the purpose data is a document conforming to the CDA (Clinical Document Architecture) specification. 一種具可擴充性醫院中病人癌症資料收集系統,包含:一癌症資料判斷模組,具有各種國際醫療疾病標準之癌症代表碼,該癌症資料判斷模組判斷至少一筆病人醫療資料之診斷碼是否為癌症代表碼;以及一如申請專利範圍第1項至第7項任一項所述之該具可擴充性之醫院中病人醫療資料收集系統。 The invention discloses a patient cancer data collection system in a hospital, comprising: a cancer data judgment module, and a cancer representative code having various international medical disease standards, wherein the cancer data judgment module determines whether the diagnostic code of at least one patient medical data is A cancer representative code; and the hospital medical data collection system of the expandable hospital according to any one of claims 1 to 7. 一種醫院中病人醫療資料收集方法,係用於一具可擴充性之醫院中病人醫療資料收集系統中,該方法包含: 一醫療資料分類程序,係透過一數據編碼分類表、一數據詞彙控制表、一數據詮釋參照表及一邏輯控制資料表將至少一筆病人醫療資料進行分類,該數據編碼分類表是具有各種國際醫療疾病標準的詞彙代碼類別資訊以呈現該病人醫療資料之一診斷碼,該數據詞彙控制表具有變動性的醫學詞彙分類,該數據詮釋參照表具有詮釋醫療詞彙之資料,該邏輯控制資料表指定詞彙與詞彙之間的主從關係;一醫療資料寫入程序,適於將該被該醫療資料分類程序處理過後之該至少一筆病人醫療資料寫入一資料庫;一資料庫讀取分析程序,具有該數據編碼分類表、該數據詞彙控制表、該數據詮釋參照表及該邏輯控制資料表,該資料庫讀取分析程序將該資料庫中之該至少一筆病人醫療資料進行分類;以及一醫療資料寫出程序,依照該資料庫讀取分析程序之分類資料,將所需之該至少一筆病人醫療資料從該資料庫中輸出至一目的資料。 A method for collecting medical data of a patient in a hospital is used in a hospitalized medical data collection system for a patient, the method comprising: A medical data classification program classifies at least one patient medical data by means of a data coding classification table, a data vocabulary control table, a data interpretation reference table and a logical control data table, the data coding classification table having various international medical treatments The vocabulary code category information of the disease standard to present a diagnostic code of the patient's medical data, the data vocabulary control table having a variability of medical vocabulary classification, the data interpretation reference table having an interpretation of the medical vocabulary, the logical control data table specifying vocabulary a master-slave relationship with the vocabulary; a medical data writing program adapted to write the at least one patient medical data processed by the medical data classification program into a database; a database reading analysis program having The data encoding classification table, the data vocabulary control table, the data interpretation reference table, and the logic control data table, the database reading analysis program classifying the at least one patient medical data in the database; and a medical data Write a program to read the classified data of the analysis program according to the database. At least the sum of patient medical information required for the output from the database to a data purposes. 如申請專利範圍第9項所述醫院中病人醫療資料收集方法,其中該醫療資料寫入程序更包含一資料連接程序,可將該至少一筆病人醫療資料之外部資料連結至該資料庫。 The method for collecting medical data of a patient in a hospital according to claim 9 , wherein the medical data writing program further comprises a data linking program, and the external data of the at least one patient medical data can be linked to the database. 如申請專利範圍第9項所述醫院中病人醫療資料收集方法,其中該醫院中病人醫療資料收集方法適用於網際網路、企業網路或企業間網路。 The method for collecting medical data of a patient in a hospital according to claim 9 of the patent application, wherein the method for collecting medical data of the patient in the hospital is applicable to an internet, a corporate network or an inter-enterprise network. 如申請專利範圍第9項所述醫院中病人醫療資料收集方法,其中該目的資料是標記式語言文件。 The method for collecting medical data of a patient in a hospital according to claim 9 of the patent application, wherein the target data is a markup language file. 如申請專利範圍第9項所述醫院中病人醫療資料收集方法,其中該目的資料是符合CDA(Clinical Document Architecture)規範之文件。 The method for collecting medical data of a patient in a hospital according to claim 9 of the patent application scope, wherein the target data is a document conforming to the CDA (Clinical Document Architecture) specification. 一種醫院中病人癌症資料收集方法,係用於一具可擴充性之癌症資料收集系統中,該方法包含:一癌症資料判斷程序,判斷至少一筆病人醫療資料之診斷碼是否為癌症代表碼;以及一如申請專利範圍第9項至第13項任一項所述醫院中病人醫療資料收集方法。 A method for collecting cancer data of a patient in a hospital is for use in a scalable cancer data collection system, the method comprising: a cancer data determination program for determining whether the diagnostic code of at least one patient medical data is a cancer representative code; A method for collecting medical data of a patient in a hospital according to any one of the items 9 to 13 of the patent application. 如申請專利範圍第14項所述醫院中病人癌症資料收集方法,其中該病人醫療資料分類程序更包括一特異因子輸入程序,可將癌症之部位與形態寫入該資料庫。 For example, in the method for collecting cancer data of a patient in a hospital according to claim 14, wherein the medical data classification program further includes a specific factor input program, and the location and morphology of the cancer can be written into the database. 如申請專利範圍第15項所述醫院中病人癌症資料收集方法,其中該特異因子輸入程序包含單一因子輸入功能與複合式因子輸入功能,該複合式因子輸入功能可先計算出複數個因子之間關係,再以複數個因子方式寫入該資料庫。 The method for collecting cancer data of a patient in a hospital according to claim 15 , wherein the specific factor input program comprises a single factor input function and a composite factor input function, and the composite factor input function can first calculate a plurality of factors The relationship is then written to the database in multiple factors.
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